DR. LISA L WILSON (NPI# 1225049349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225049349 |
| Entity Type | Individual |
| Full Name | DR. LISA L WILSON |
| Credential | OD |
| Practice Address |
2156 W 183rd St Homewood IL 60430 |
| Practice Telephone | 7089577700 |
| Practice Fax Number | 7089577715 |
| Mailing Telephone | 7089577700 |
| Mailing Fax Number | 7089577715 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1386282358 | Lisa May Wilson | Registered Nurse | 563 Landings Blvd, Ann Arbor, MI 48103-2715 | 2019-12-20 |
| 1720507163 | Lisa M Wilson | Massage Therapist | 19833 Road 124, Tulare, CA 93274-9597 | 2017-09-18 |
| 1639535545 | Lisa Wilson | Social Worker | 12004 Lansdowne Rd, Austin, TX 78754-5873 | 2016-01-07 |
| 1073809018 | Lisa Zobrist Wilson | Nurse Practitioner | 10844 Thistlewood Dr, Baton Rouge, LA 70810-2921 | 2011-06-28 |
| 1215178777 | Lisa Wilson | Counselor | 4826 5th St Nw, Washington, DC 20011-6107 | 2009-03-13 |
| 1235386699 | Lisa Elaine Wilson | Counselor | 1052 Gardner Rd Ste 700, Charleston, SC 29407-5702 | 2008-08-27 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1295918076 | Lisa Ann Wilson | Anesthesiology | 304 S Jones Blvd, Las Vegas, NV 89107-2623 | 2007-12-14 |
| 1518175629 | Lisa Dawn Wilson | Occupational Therapist | 550 Thornton Pkwy Unit 110, Thornton, CO 80229-2166 | 2007-05-21 |
| Street Address |
2156 W 183RD ST |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205847332 | Kenneth M Kirschner | Optometrist | 2156 W 183rd St, Homewood, IL 60430 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978504 | Sadiksha Prasain | Optometrist | 616 Northmoor Ln, Homewood, AL 35209-6422 | 2020-07-05 |
| 1053537654 | Vaughns Family Vision LLC | Optometrist | 833 Green Springs Hwy, Ste 121, Homewood, AL 35209-4916 | 2007-04-18 |
| 1114142148 | Kirschner Optometric Associates, P.C. | Optometrist | 2156 183rd St, Homewood, IL 60430-3238 | 2007-04-16 |
| 1952442824 | Robert Michael Grohe | Optometrist | 18019 Dixie Hwy, Homewood, IL 60430-1733 | 2007-02-12 |
| 1639218357 | Mars Optical Group Inc | Optometrist | 18234 Halsted St, Homewood, IL 60430-2508 | 2007-02-06 |
| 1821144379 | Frank Larussa Optometry LLC | Optometrist | 210 Morris Blvd, Homewood, AL 35209-5121 | 2007-01-26 |
| 1013073436 | Paul Arquilla | Optometrist | 825 Maple Ave, Homewood, IL 60430-2031 | 2006-12-29 |
| 1437256955 | Karen Smith Vanoy | Optometrist | 130 Wildwood Pkwy, Homewood, AL 35209-7187 | 2006-09-19 |
| 1205847332 | Kenneth M Kirschner | Optometrist | 2156 W 183rd St, Homewood, IL 60430 | 2006-08-11 |
| 1407867534 | Paul S Kirschner | Optometrist | 2156 W 183rd Street, Homewood, IL 60430 | 2006-08-11 |
| Find all providers in HOMEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.